Revision under Federal BCBS??
Hi all! I am looking for anyone that could possibly share their experience with getting a revision covered under Fed. BCBS.. The standards have changed since I had my lap band in 07 and now it has slipped.. If you have had a revision recently did BCBS make you ump through all the hoops or just basically give a go ahead once they saw how the slip was impacting you? I am miserable and need some relief from this awful band soon. Thanks for any insight.
Jeannie
Jeannie
I am having revision from Band to Sleeve on August 16. I have Fed Blue.
I had to do three months surpervised diet, Psych evaluation, plus I had to meet all the criteria as the first surgery. I had to do one appeal but I eventually got approved. Mine was deemed medically necessary but I had only one co morbidity and my BMI is 38. I had Lap Band in 07 and was approved in less then 2 weeks. This time around it took me about 4 months. It sounds to me like you will not get the run around like I did because yours sounds like it will be deemed medically necessary from the start. Good luck. I hope they are kind to you and give you some relief.
I had to do three months surpervised diet, Psych evaluation, plus I had to meet all the criteria as the first surgery. I had to do one appeal but I eventually got approved. Mine was deemed medically necessary but I had only one co morbidity and my BMI is 38. I had Lap Band in 07 and was approved in less then 2 weeks. This time around it took me about 4 months. It sounds to me like you will not get the run around like I did because yours sounds like it will be deemed medically necessary from the start. Good luck. I hope they are kind to you and give you some relief.
Revision from Lap Band to Gastric Sleeve. August 16, 2011